Individual provider Active NPI

Anita J. Spirek, M.D.

  • Gynecology Physician
  • Georgetown, KY
National Provider Identifier
1710972708
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
31354 Issued in KY
Practice address
1140 Lexington Rd
Suite 200
Georgetown, KY 40324-9330
Phone
(502) 867-2155
Fax
(502) 867-2122
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 31354 KY Primary
Obstetrics Physician 207VX0000X 31354 KY

Addresses

Primary practice location

1140 Lexington Rd
Suite 200
Georgetown, KY 40324-9330

Mailing address

1140 Lexington Rd
Suite 200
Georgetown, KY 40324-9330
Phone (502) 867-2155

Other identifiers 2

IdentifierTypeStateIssuer
64313547MedicaidKY
0912101OtherKYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001595 KY Practitioner - Obstetrics/Gynecology 0840287090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kentucky College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Lexington Rd
Suite 203
Georgetown, KY 40324-9330
Phone (502) 867-2155

Hospital & facility affiliations

  • Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Bourbon Community Hospital Hospital, Paris, KY, CCN 180046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31354KYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anita Spirek M.D. P.L.L.C. CurrentSince Apr 1, 2004 Accepting new patients

Locations

1140 Lexington Rd
Ste 200
Georgetown, KY 40324
Phone (502) 863-5150

1140 Lexington Rd
Ste 203
Georgetown, KY 40324
Phone (502) 570-3757

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1710972708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-867-2155",
            "fax_number": "502-867-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 LEXINGTON RD",
            "address_2": "SUITE 200",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249330",
            "telephone_number": "502-867-2155",
            "fax_number": "502-867-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIREK",
        "first_name": "ANITA",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "31354",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "KY",
            "license": "31354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64313547",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0912101",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.